| NPI | 1811336365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1600102) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 72 084030) |
| 104100000X Social Worker (Licence: OH S.0900942) | |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2023-05-19 |